Clinical Updates on Heart Failure and Cardiac Transplantation

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Cardiovascular Medicine".

Deadline for manuscript submissions: 31 May 2025 | Viewed by 1080

Special Issue Editors


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Guest Editor
1. Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum der Charite (DHZC), 13353 Berlin, Germany
2. Charite—Universitatsmedizin Berlin, Corporate Member of Freie Universitat Berlin, Humboldt-Universitat zu Berlin, Berlin Institute of Health, 10117 Berlin, Germany
Interests: clinical heart transplantation; age-specific ischemia-reperfusion injury; ex vivo organ perfusion

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Guest Editor
1. Department for Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School, 30625 Hannover, Germany
2. German Center for Lung Research, BREATH, Hannover Medical School, 30625 Hannover, Germany
Interests: adult and pediatric heart-lung and lung transplant; ECMO and EVLP in lung transplantation; anti-HLA donor specific antibodies in lung and heart transplantation

E-Mail Website
Guest Editor
1. Department of Cardiothoracic Surgery, Deutsches Herzzentrum der Charite, D-13353 Berlin, Germany
2. Charite—Universitatsmedizin Berlin, Corporate Member of Freie Universitat Berlin and Humboldt-Universitat zu Berlin, D-10117 Berlin, Germany
Interests: heart and lung transplantation; mechanical circulatory support; ex-vivo organ perfusion

Special Issue Information

Dear Colleagues,

Heart failure remains a significant global health burden, demanding the continuous refinement of diagnostic approaches, therapeutic strategies, and patient care paradigms. Moreover, cardiac transplantation stands as a life-saving intervention for end-stage heart failure patients, but it also presents complex challenges in patient selection, donor allocation, immunosuppressive management, and long-term outcomes.

Through the synthesis of cutting-edge research findings, clinical trial outcomes, and expert perspectives, this Special Issue aims to bridge the gap between evidence-based medicine and clinical practice. We welcome submissions that span various aspects of cardiovascular medicine and aim to delineate diagnostic and therapeutic approaches as well surgical techniques and personalized transplant protocols.

This call for papers presents an opportunity to contribute to a comprehensive exploration of the evolving landscape of cardiovascular medicine, fostering dialogue, collaboration, and ultimately advancements in patient care. We look forward to receiving your submissions and collectively shaping the future of heart failure and cardiac transplantation research.

Dr. Jasper Iske
Dr. Fabio Ius
Dr. Felix Hennig
Guest Editors

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Keywords

  • heart transplantation
  • organ allocation
  • organ preservation
  • ex vivo heart perfusion
  • machine perfusion
  • NMP
  • preservation protocols
  • organ procurement
  • transplant protocol
  • heart transplant rejection

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Published Papers (1 paper)

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Research

13 pages, 1181 KiB  
Article
Implications of Preoperative C-Reactive Protein Levels in Heart Transplant Patients—A Single-Center Retrospective Study
by Laurentiu Huma, Horatiu Suciu, Calin Avram, Radu-Adrian Suteu, Alina Danilesco, Dragos-Florin Baba, Diana-Andreea Moldovan and Anca-Ileana Sin
J. Clin. Med. 2024, 13(23), 7466; https://doi.org/10.3390/jcm13237466 - 8 Dec 2024
Viewed by 745
Abstract
Background: Heart transplant is the final therapeutic option for end-stage heart failure patients. It has been used with increasing success as a surgical procedure, greatly influenced by advances in diagnostic and prognostic tools. The aim of this paper was to study potential [...] Read more.
Background: Heart transplant is the final therapeutic option for end-stage heart failure patients. It has been used with increasing success as a surgical procedure, greatly influenced by advances in diagnostic and prognostic tools. The aim of this paper was to study potential implications of C-reactive protein (CRP) in patients who underwent heart transplants. Methods: Our cohort included 43 adult patients from the Emergency Institute for Cardiovascular Diseases and Transplant of Târgu Mureș who underwent heart transplants in our center between 2011 and 2023. Correlations between CRP levels and different characteristics of the patients were investigated, and the optimal cut-off value for CRP levels in relation to the 6-month mortality rate was determined. The central tendencies of the baseline characteristics of patients who had a CRP value lower than the cut-off and those with a value higher than it were compared using parametric or nonparametric tests. Results: Significant correlations between the preoperative CRP levels and 6-month mortality rate (r = 0.35; 95%CI: 0.05–0.60; p = 0.02), as well as previous cardiac resynchronization therapy (CRT) and preoperative CRP levels (r = −0.37; 95%CI: −0.61–−0.07, p = 0.01) were highlighted. A value for CRP > 1.66 mg/dL was found to be associated with 6-month mortality (OR = 18.00; 95%CI: 1.90–170.33, p < 0.01). Moreover, the patients who received CRT before transplantation had significantly lower levels of CRP when compared to those who did not receive CRT (p = 0.01). Conclusions: Preoperative CRP levels could represent a valuable asset in the follow-up algorithm of heart transplant patients. The lower levels of CRP in patients who benefited from CRT before transplantation highlights the importance of understanding the complex mechanisms of inflammation and increasing focus on device therapy for future transplant recipients. Further prospective studies with larger cohorts are needed for validation. Full article
(This article belongs to the Special Issue Clinical Updates on Heart Failure and Cardiac Transplantation)
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